go back

Idaho rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $529.38 / $1,601.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $606.92 / $682.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $546.29 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.91 / $723.84 / $976.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $682.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.20 / $817.10 / $1,457.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.55 / $655.55 / $682.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $874.06