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Wyoming rates for HCPCS J0642

Injection, levoleucovorin (Khapzory), 0.5 mg

Facilitymedian $2 · 10th–90th $1$50%10%20%10th90th$2Professionalmedian $3 · 10th–90th $1$30%50%10th$3$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.41 / $1.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.82 / $1.82
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
$1.17 / $1.41 / $1.58