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Iowa rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $6 · 10th–90th $3–$6920%20%40%10th90th$6Professionalmedian $23 · 10th–90th $3–$1660%10%10th90th$23$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
$5.75 / $9.55 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $52.48 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.27 / $4.90
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.24 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $5.37 / $9.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.37 / $5.37
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $10,000.00 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.98 / $4.68
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $3.80