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Kentucky rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Facilitymedian $0 · 10th–90th $0$00%50%90th$0Professionalmedian $0 · 10th–90th $0$20%50%90th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.10
CareSource
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 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.06