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Levoleucovorin (Khapzory) Injection

Rhode Island rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$40%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%90th$1$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.17
Typical High
$4.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.58