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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
$602.56 / $891.25 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $537.03 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $660.69 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $870.96 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $812.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31