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Wyoming rates for HCPCS J0740

Injection, cidofovir, 375 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.38 / $529.38 / $529.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.38 / $529.38 / $546.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.65 / $1,037.23 / $1,037.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.37 / $515.37 / $515.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $773.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $546.29 / $546.29