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Massachusetts rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.20 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.10 / $0.18
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 / $0.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.83