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Levoleucovorin (Khapzory) Injection

Hawaii rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

How much does Levoleucovorin (Khapzory) Injection cost?

$1,780per dose

One 436 mg dose, at the doctor's office rate. In Hawaii, July 2026.

Negotiated ratewhat insurers pay per 0.5 mg of the drug
$2.04 / 0.5 mg
Average doseacross Medicare claims, discarded units included
× 436 mg
One dosedrug only; giving it and the visit are billed separately
$1,780

Work out the cost of a dose

This drug is priced per 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$1,780

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $2 · 10th to 90th $2 to $2
$2.0professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.62
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.55
Typical High
$2.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$2.14

Where Hawaii sits

The same service costs 3.0 times more in Delaware than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $2.04 · 5th of 51
DE $3.80ND $1.29

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.