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Oregon rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $489.78 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,174.90 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $954.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $758.58 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $562.34 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $891.25 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81