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Oklahoma rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $571.73 / $971.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.00 / $590.00 / $606.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.38 / $677.25 / $1,074.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $515.37 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $758.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.37 / $623.27 / $1,037.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.83 / $529.38 / $546.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29