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Levoleucovorin (Khapzory) Injection

West Virginia rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1$10%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
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.32
Typical High
$1.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.95
Typical High
$2.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.48
Typical High
$2.29