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Tennessee rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $45 · 10th–90th $5–$4790%5%10%10th90th$45Professionalmedian $3 · 10th–90th $3–$80%50%90th$3$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $58.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.50 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.07 / $7.59