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Georgia rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$2.0$5.0$10.0

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 / $1.62 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $6.46 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.40 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $7.08 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.29 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.48 / $1.86