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Kansas rates for HCPCS J0640

Leucovorin Calcium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $331.36 / $969.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.48 / $61.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $6.13 / $6.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $5.53 / $12.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.19 / $7.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $7.60