go back

Virginia rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $98 · 10th–90th $4–$6610%5%10%10th90th$98Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K

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
$3.98 / $100.00 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.17 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $8.91
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.80 / $5.37
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $9.12
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $9.12
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
$3.80 / $4.07 / $5.01