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Leucovorin Injection

Oklahoma rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$390%10%20%10th90th$5Professionalmedian $4 · 10th–90th $4$40%50%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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.61
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$4.17
Typical High
$7.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$9.55
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.47
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.98
Typical High
$4.47
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.37