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Delaware rates for HCPCS J0740

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $1,234.14 / $1,234.14
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 / $819.44 / $1,016.49