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Kentucky rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.42 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.68 / $2.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.42 / $1.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $2.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.56 / $2.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.42 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $3.20 / $3.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.51 / $1.58