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Illinois rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $956.01 / $1,720.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.38 / $546.29 / $641.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.33 / $2,364.36 / $7,540.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.03 / $819.44 / $1,677.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.18 / $710.18 / $710.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $881.65