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North Dakota rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $4 · 10th–90th $3$1,2880%20%10th90th$4Professionalmedian $4 · 10th–90th $3$320%10%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K

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
$3.02 / $3.89 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.89 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.47 / $6.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $5.50