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North Carolina rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.33 / $896.91 / $1,088.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $608.33 / $1,017.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.36 / $800.05 / $1,078.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.43 / $507.43 / $544.36
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 / $1,037.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.33 / $650.09 / $1,140.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.23 / $761.23 / $761.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $846.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.23 / $1,226.29 / $3,331.25