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Leucovorin Injection

Washington, DC rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $4$3470%10%20%10th90th$11Professionalmedian $4 · 10th–90th $4$70%50%90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$11.22
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.17
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.41
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.37
Typical High
$5.25