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Hawaii rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$2.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.62
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.14