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Leucovorin Injection

Oregon rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $4$490%10%10th90th$7Professionalmedian $4 · 10th–90th $4$70%20%10th90th$4$1.0$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
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.51
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.17
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$8.71
Typical High
$10.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.80
Typical High
$4.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$3.80
Typical High
$4.47
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$6.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$7.08
Typical High
$12.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.37