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Florida rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $587.60 / $970.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $95.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.22 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.22 / $3.22
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.40 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $5.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.95 / $3.95