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Alabama 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
$529.38 / $737.49 / $737.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $606.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.16 / $810.85 / $1,090.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $871.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $910.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29