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Leucovorin Injection

North Dakota rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$780%50%10th90th$4Professionalmedian $4 · 10th–90th $3$40%20%40%10th90th$4$5.0$10.0$20.0$50.0

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
$3.63
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$11.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.89
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.47
Typical High
$6.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.47
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.37
Typical High
$5.13