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Colorado rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $2.15 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.42 / $1.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.49 / $4.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.93 / $2.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.56 / $2.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42