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Alabama rates for HCPCS J0641

Levoleucovorin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.91 / $221.97 / $298.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06