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South Carolina rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $191 · 10th–90th $4–$8910%10%10th90th$191Professionalmedian $4 · 10th–90th $3–$810%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K

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
$4.07 / $190.55 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.09 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.80 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $11.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.07 / $4.68