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Leucovorin Injection

Kansas rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $16 · 10th–90th $4$220%10%10th90th$16Professionalmedian $5 · 10th–90th $4$80%20%10th90th$5$2.0$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
$4.37
Median
$16.98
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.75
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.47
Typical High
$4.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.89
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.50
Typical High
$12.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.17
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$8.71