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Illinois rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $87 · 10th–90th $4$5130%10%10th90th$87Professionalmedian $4 · 10th–90th $3$1820%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

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 / $89.13 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $19.05 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $10.96 / $57.54
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.98 / $4.47