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New Hampshire rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $8 · 10th–90th $4$3800%10%20%10th90th$8Professionalmedian $4 · 10th–90th $3$70%20%10th90th$4$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $35.48 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.03 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $5.50