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Kansas rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $2.82 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.51 / $1.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.82 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.70 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.20 / $2.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.29 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.48 / $2.63