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Arkansas rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.79 / $655.55 / $759.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $606.92 / $655.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.32 / $574.32 / $574.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.52 / $574.32 / $574.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $546.29 / $646.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $888.00