Injection of cidofovir, 375 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

J0740

Payers reporting HCPCS J0740

Payer pricing summary

Low

$274

Average

$6.2k

Median

$1.1k

High

$178.1k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	399	$875	$1.2k	$1.0k	83%	1–10	$0 – $5.7k
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	654	$762	$860	$838	97%	—	$0 – $7.3k
3	Aetna fee schedule · outpatient · +26 other terms	440	$612	$944	$817	87%	—	$1 – $7.7k
4	Cigna fee schedule · outpatient · +23 other terms	399	$748	$1.2k	$958	81%	—	$1 – $4.5k
5	Humana fee schedule · outpatient · +22 other terms	381	$546	$892	$994	111%	—	$0 – $4.7k
6	Molina fee schedule · outpatient · +23 other terms	146	$602	$665	$309	46%	—	$1 – $3.0k
7	Anthem fee schedule · outpatient · +25 other terms	142	$726	$884	$788	89%	—	$301 – $8.8k
8	WellCare fee schedule · outpatient · +14 other terms	141	$546	$569	$341	60%	—	$279 – $2.7k
9	Ambetter facility · fee schedule · outpatient · +15 other terms	88	$961	$3.1k	$24.8k	788%	—	$301 – $281.3k
10	Kaiser fee schedule · outpatient · +18 other terms	82	$914	$1.3k	$1.2k	87%	—	$1 – $6.1k
11	Caresource fee schedule · outpatient · +15 other terms	80	$616	$695	$352	51%	—	$1 – $2.7k
12	MultiPlan fee schedule · outpatient · +17 other terms	71	$1.5k	$2.2k	$2.0k	92%	—	$63 – $8.7k
13	Devoted fee schedule · outpatient · +12 other terms	62	$535	$488	$96	20%	—	$305 – $585
14	Highmark facility · fee schedule · outpatient · +14 other terms	53	$930	$1.6k	$1.8k	111%	—	$359 – $11.1k
15	Optum facility · fee schedule · outpatient · +20 other terms	44	$528	$529	$77	15%	—	$301 – $763
16	Oscar facility · fee schedule · outpatient · +15 other terms	43	$683	$702	$138	20%	—	$524 – $1.0k
17	Medicare fee schedule · outpatient · +10 other terms	37	$535	$556	$269	48%	—	$1 – $2.6k
18	Medica fee schedule · outpatient · +18 other terms	35	$910	$1.1k	$565	50%	—	$2 – $3.4k
19	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$1.9k	$1.8k	$856	48%	—	$283 – $3.5k
20	Tricare facility · fee schedule · outpatient · +14 other terms	31	$524	$1.6k	$1.3k	82%	—	$301 – $3.6k
21	Clover fee schedule · outpatient · +6 other terms	29	$517	$774	$762	98%	—	$329 – $2.6k
22	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	27	$568	$635	$189	30%	—	$514 – $1.2k
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$709	$707	$141	20%	—	$533 – $925
24	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	22	$589	$593	$126	21%	—	$396 – $1.4k
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	21	$978	$1.1k	$508	45%	—	$305 – $2.3k

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