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Texas rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.92 / $599.19 / $1,154.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $551.76 / $857.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.49 / $1,222.46 / $2,552.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.49 / $511.49 / $511.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $781.19 / $812.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.04 / $544.99 / $990.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $546.29 / $804.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.28 / $546.29 / $592.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.10 / $301.10 / $737.49