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Nationwide rates for HCPCS J0740

Injection Cidofovir 375 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.61 / $752.88 / $1,207.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $562.67 / $737.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $880.97 / $1,745.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $557.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $546.29 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.78 / $589.78 / $720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $759.94