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Leucovorin Injection

Rhode Island rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $4$720%20%10th90th$9Professionalmedian $4 · 10th–90th $4$40%50%10th90th$4$5.0$10.0$20.0$50.0$100.0

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
$7.08
Median
$13.80
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.72
Typical High
$3.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$8.91