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Leucovorin Injection

Indiana rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $4$250%20%10th90th$7Professionalmedian $4 · 10th–90th $4$50%50%90th$4$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
$9.77
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$5.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$7.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$5.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$5.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.57
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.37
Typical High
$7.76