go back

Nebraska rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $9 · 10th–90th $4$6170%10%20%10th90th$9Professionalmedian $87 · 10th–90th $4$1200%10%20%10th90th$87$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3.80 / $7.76 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $87.10 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $4.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.98 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $5.75