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Oregon rates for HCPCS J0640

Leucovorin Calcium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $92.52 / $685.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.78 / $137.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $7.02 / $7.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $8.52 / $11.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $4.59 / $10.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $4.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $4.19 / $8.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $7.02 / $10.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.21 / $5.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.70