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Nationwide rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1.41 / $2.45 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.70 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.14 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.95 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $2.09