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Leucovorin Injection

South Dakota rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$200%50%90th$4Professionalmedian $4 · 10th–90th $4$50%50%10th90th$4$5.0$10.0$20.0$50.0$100.0$200.0

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
$3.63
Median
$7.24
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.37
Avera
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.61
Typical High
$10.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.47
Typical High
$4.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.80
Typical High
$4.47
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63