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Oregon rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $49 · 10th–90th $4$6920%10%10th90th$49Professionalmedian $4 · 10th–90th $3$1450%10%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $66.07 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.68 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $7.94 / $10.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $7.08
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $6.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.08 / $12.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.37