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Tennessee rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $688.19 / $1,124.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $640.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.23 / $1,037.23 / $1,037.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.23 / $3,331.25 / $3,331.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $881.65