go back

Pennsylvania rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $93 · 10th–90th $5$7410%10%10th90th$93Professionalmedian $35 · 10th–90th $3$1660%10%20%10th90th$35$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5.62 / $95.50 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $54.95 / $165.96
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.75
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $12.59 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.17 / $6.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $18.62 / $53.70
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.75
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.50 / $10.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.37
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,089.30 / $3,090.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $3.72 / $4.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.72 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $7.08