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Minnesota rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1–$40%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$2.0$5.0$10.0

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 / $1.00 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.04 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $4.68 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $1.82
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.47 / $5.37
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.82 / $3.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $2.88