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Nationwide rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.45 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.86 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.41 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.45 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.95 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.48 / $2.00