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Kentucky rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $32.10 / $694.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $4.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $3.80 / $4.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.22 / $3.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.54 / $5.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.38 / $4.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.22 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.33 / $8.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $4.47