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Georgia rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $309 · 10th–90th $4–$9550%10%20%10th90th$309Professionalmedian $4 · 10th–90th $3–$320%20%10th90th$4$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $501.19 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $17.78 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.61 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.07 / $4.27
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.92 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $5.13