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Leucovorin Injection

Maryland rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $4$160%10%10th90th$8Professionalmedian $4 · 10th–90th $4$50%50%90th$4$5.0$10.0$20.0

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
$3.63
Median
$8.32
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.37
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.63
Typical High
$7.94
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
$4.37
Typical High
$5.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80