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Mississippi rates for HCPCS J0740

Injection Cidofovir 375 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.61 / $635.25 / $655.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $606.92 / $737.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.25 / $601.25 / $601.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.32 / $546.29 / $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
$524.44 / $546.29 / $710.18