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Connecticut rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $954.99