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Leucovorin Injection

Washington rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $4$360%10%20%10th90th$7Professionalmedian $4 · 10th–90th $4$60%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$3.98
Median
$7.24
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.17
Typical High
$6.17
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.72
Typical High
$7.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$7.94
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$6.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Regence BlueShield
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
$3.80
Typical High
$9.12
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.68