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West Virginia rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $95 · 10th–90th $4$5130%10%10th90th$95Professionalmedian $4 · 10th–90th $3$80%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
$4.27 / $95.50 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.94
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $4.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.37 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $13.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $15.14 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $7.59