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Washington, DC rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $4 · 10th–90th $1$50%20%10th90th$4Professionalmedian $1 · 10th–90th $1$10%50%90th$1$1.0$2.0$5.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $4.37 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.74 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $1.91