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Levoleucovorin (Khapzory) Injection

New Jersey rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$9,7720%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$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
$1.66
Median
$1.95
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.78
Typical High
$2.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$12,302.69
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.17
Typical High
$1.17
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.00
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.58
Typical High
$1.74