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Leucovorin Injection

Utah rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $3 · 10th to 90th $3 to $4
facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
United
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$4.17