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Leucovorin Injection

South Carolina rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $4$630%10%10th90th$14Professionalmedian $4 · 10th–90th $3$60%50%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$3.80
Median
$14.45
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.80
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.09
Typical High
$5.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.72
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.37
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.57