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Idaho rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Facilitymedian $0 · 10th–90th $0$20%10%10th90th$0Professionalmedian $0 · 10th–90th $0$00%50%90th$0$0.0$0.1$0.5$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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $1.91 / $3.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.06 / $0.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.06 / $2.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.06
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.08