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Ohio rates for HCPCS J0641

Levoleucovorin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.14 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.08