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Colorado rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $1,053.47 / $1,341.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $597.64 / $640.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $959.18 / $1,748.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $515.37 / $784.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $851.28 / $1,120.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.72 / $600.91 / $895.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29