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Indiana rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $8 · 10th–90th $4–$3980%10%10th90th$8Professionalmedian $3 · 10th–90th $3–$110%50%90th$3$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $93.33 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $11.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $5.01
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.77 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $7.76