go back

Leucovorin Injection

Tennessee rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $4$550%10%10th90th$7Professionalmedian $4 · 10th–90th $4$60%50%90th$4$5.0$10.0$20.0$50.0$100.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$7.76
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$6.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.25
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$7.59