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Levoleucovorin (Khapzory) Injection

Oregon rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$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
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.04
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.29
Typical High
$2.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$3.24
Typical High
$3.39
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.38
Typical High
$1.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.38
Typical High
$1.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.29
Typical High
$3.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.41
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$3.80
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.58