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Minnesota rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $546.29 / $1,058.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $562.67 / $750.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.65 / $628.23 / $1,301.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.50 / $529.38 / $554.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.75 / $1,713.54 / $2,086.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.99 / $631.22 / $675.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.90 / $1,563.71 / $1,962.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.67 / $531.67 / $723.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.37 / $703.42 / $1,355.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.38 / $529.38 / $952.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $939.51