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Oklahoma rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $6 · 10th–90th $3$6760%10%20%10th90th$6Professionalmedian $4 · 10th–90th $3$50%20%40%10th90th$4$1.0$10.0$100.0$1.0K$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
$4.17 / $114.82 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.27 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $9.55 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.47 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.80 / $4.37