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New York rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$1.0$10.0$100.0$1.0K$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
$1.41 / $1.82 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.91
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.70 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $6.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.55 / $4.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.48
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.55 / $2.75
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.48 / $1.70