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Ohio rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $98 · 10th–90th $5$5370%5%10%10th90th$98Professionalmedian $4 · 10th–90th $3$80%20%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$4.79 / $104.71 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $8.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $7.76 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $6.31
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $9.12 / $23.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.27 / $5.37
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $6.03 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.59 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $4.79