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Levoleucovorin (Khapzory) Injection

Washington, DC rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $1$50%20%10th90th$4Professionalmedian $1 · 10th–90th $1$30%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
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$3.72
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.74
Typical High
$3.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.69
Typical High
$4.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.58
Typical High
$1.91