go back

North Carolina rates for HCPCS J0740

Injection, cidofovir, 375 mg

Facilitymedian $891 · 10th–90th $603$1,0960%20%10th90th$891Professionalmedian $575 · 10th–90th $525$1,0960%20%40%10th90th$575$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $575.44 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $954.99 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $870.96 / $954.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $812.83
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31