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South Carolina rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $3,467.37 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,412.54 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $575.44