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Wisconsin rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $115 · 10th–90th $4$5500%5%10%10th90th$115Professionalmedian $6 · 10th–90th $3$1450%10%20%10th90th$6$1.0$5.0$20.0$100.0$500.0$2.0K

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
$5.75 / $194.98 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $52.48 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $7.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $7.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $6.46 / $6.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $17.78 / $23.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.47 / $10.72
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $165.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.79 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $5.62