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Levoleucovorin (Khapzory) Injection

Massachusetts rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K

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
$1.78
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$3.24
Typical High
$4.27
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.29
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.34
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$3.24
Typical High
$4.27
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$2.29
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$2.75
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$2.29