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Leucovorin Injection

Idaho rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$400%10%20%10th90th$5Professionalmedian $4 · 10th–90th $4$40%20%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.51
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.98
Typical High
$4.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.90
Typical High
$12.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.27
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.47
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$3.63
Typical High
$4.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$8.51
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$5.37