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Hawaii rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $794.33