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Iowa rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $1 · 10th–90th $1–$30%50%90th$1Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.41 / $2.63 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.58 / $1.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.45 / $6.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.78 / $2.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.23 / $2.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.45 / $1.70
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41