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North Carolina rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $2–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.55 / $2.24 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.29 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.24 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.55 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $2.19
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11