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Leucovorin Injection

Massachusetts rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$220%20%10th90th$5Professionalmedian $4 · 10th–90th $4$60%50%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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.31
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.63
Typical High
$3.72
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$8.91
Typical High
$60.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.80
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.59
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$5.01
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.25
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$6.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$56.23
Typical High
$218.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$8.91
Typical High
$60.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.80
Typical High
$7.59
Tufts
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.07
Typical High
$7.59