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Idaho rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $72 · 10th–90th $4$6310%10%10th90th$72Professionalmedian $4 · 10th–90th $3$590%20%10th90th$4$1.0$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
$5.37 / $173.78 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $4.90 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.80 / $4.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $5.37