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New Jersey rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $2–$90%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.14 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.78 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.63
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.17 / $1.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.00 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.55 / $1.62