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South Carolina rates for HCPCS J0740

Injection, cidofovir, 375 mg

Facilitymedian $2,138 · 10th–90th $550–$4,5710%10%20%10th90th$2,138Professionalmedian $575 · 10th–90th $525–$8510%20%40%10th90th$575$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,467.37 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $575.44 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,380.38 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $562.34 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $691.83