go back

Kansas rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.96 / $1,037.23 / $2,676.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $590.00 / $1,037.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.09 / $747.46 / $1,359.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.54 / $590.54 / $590.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $515.37 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.37 / $741.13 / $1,037.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.83 / $529.38 / $847.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $928.69