go back

Levoleucovorin (Khapzory) Injection

Illinois rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$1.95
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$6.76
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.57
Typical High
$3.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$3.47
Typical High
$7.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$1.78