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Levoleucovorin (Khapzory) Injection

Maine rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$30%50%10th$3Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$2.0

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
$3.02
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.35
Typical High
$1.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.58
Typical High
$3.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.82
Typical High
$3.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.55
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.35
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$2.04