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Levoleucovorin (Khapzory) Injection

Minnesota rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $1$40%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1$20%20%10th90th$1$1.0$2.0$5.0

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
$1.29
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.00
Typical High
$2.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.41
Typical High
$1.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$4.07
Typical High
$4.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.66
Typical High
$1.66
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.63
Typical High
$5.37
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.82
Typical High
$3.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.26
Typical High
$2.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.58
Typical High
$2.88