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Levoleucovorin (Khapzory) Injection

Alaska rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$40%50%90th$1Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$2.0$5.0$10.0$20.0$50.0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.40
Typical High
$3.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$4.17
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$5.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$3.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$4.27