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Texas rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $14 · 10th–90th $3$3470%5%10%10th90th$14Professionalmedian $4 · 10th–90th $3$1100%20%40%10th90th$4$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3.80 / $48.98 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $5.89 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $12.30 / $245.47
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $8.71 / $24.55
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $9.33 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.17
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.13 / $11.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.07 / $4.37