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Levoleucovorin (Khapzory) Injection

Iowa rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$30%50%90th$1Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$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
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.63
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.63
Typical High
$3.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.58
Typical High
$1.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.45
Typical High
$6.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.78
Typical High
$2.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.23
Typical High
$2.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.82
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$1.70
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29