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Massachusetts rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $759.34 / $1,662.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $568.15 / $750.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.57 / $1,037.23 / $1,809.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $881.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.16 / $697.07 / $1,485.91
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $836.42 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $1,134.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.23 / $1,037.23 / $3,331.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $881.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $881.65