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Virginia rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

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

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
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.10 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.98
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.34 / $1.05
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.07 / $0.37
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.07 / $0.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.05 / $0.07