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North Carolina rates for HCPCS J0640

Leucovorin Calcium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $321.80 / $690.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $10.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $7.95 / $11.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $3.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $9.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.83 / $10.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,927.42 / $3,927.42 / $11,337.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $4.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $164.71