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Montana rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $6 · 10th–90th $4–$7080%20%10th90th$6Professionalmedian $6 · 10th–90th $3–$1820%10%10th90th$6$2.0$20.0$200.0$2.0K$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
$338.84 / $691.83 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.59 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.50 / $13.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.50 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.13 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80