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Virginia rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $3 · 10th–90th $1–$40%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0

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
$1.00 / $2.95 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.69 / $4.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.14
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.74 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.51 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.41 / $2.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.24
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.55 / $2.51
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.55 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.48 / $1.82