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Louisiana rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $555.85 / $1,169.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.66 / $551.76 / $640.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.01 / $857.42 / $967.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.01 / $574.01 / $585.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $931.44