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Oregon rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$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
$1.41 / $2.04 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.29 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $3.24 / $3.39
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.38 / $1.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.41 / $1.70
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.29 / $3.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.45 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.88 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.58