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Leucovorin Injection

Texas rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $3$300%10%10th90th$8Professionalmedian $4 · 10th–90th $3$50%50%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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.51
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$5.89
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$12.30
Typical High
$426.58
Christus
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.71
Typical High
$24.55
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$3.80
Typical High
$5.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.63
Typical High
$7.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.17
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,202.26
Typical High
$1,737.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$11.22
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.89
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.37
Typical High
$4.37
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.17
Typical High
$4.79