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Massachusetts rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $38 · 10th–90th $4$3630%10%10th90th$38Professionalmedian $4 · 10th–90th $3$80%20%40%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.80 / $75.86 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $10.96 / $60.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.59 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.01
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.25 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.03
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $56.23 / $218.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $10.96 / $60.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $7.59
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $5.75 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $7.59