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Leucovorin Injection

Illinois rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $4$330%10%10th90th$8Professionalmedian $4 · 10th–90th $3$100%20%40%10th90th$4$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$6.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$19.05
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$10.96
Typical High
$57.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.79