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Maryland rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $45 · 10th–90th $4–$2570%10%10th90th$45Professionalmedian $4 · 10th–90th $3–$320%20%40%10th90th$4$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $44.67 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $32.36
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.27 / $5.01
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80