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Washington, DC rates for HCPCS J3485

Injection Zidovudine 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $4.26 / $5.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.36 / $3.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.51 / $2.45