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New Jersey 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
$546.28 / $746.43 / $1,291.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $551.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $737.32 / $954.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.83 / $2,001.61 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.37 / $529.37 / $630.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.78 / $589.78 / $720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $669.45