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Alabama rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $223.87 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $2.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05