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Delaware rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $661 · 10th–90th $4–$9770%10%20%10th90th$661Professionalmedian $15 · 10th–90th $3–$1200%10%10th90th$15$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $660.69 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.49 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $8.71