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Leucovorin Injection

Nebraska rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $4$200%20%10th90th$8Professionalmedian $6 · 10th–90th $4$90%20%10th90th$6$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.32
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.62
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.72
Typical High
$4.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$5.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.80
Typical High
$8.91