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Washington, DC rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Facilitymedian $0 · 10th–90th $0$00%20%10th90th$0Professionalmedian $3 · 10th–90th $0$30%50%10th$3$0.0$0.1$0.1$0.2$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.11 / $0.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.04 / $0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.07