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Hawaii rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.82 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.82 / $2.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.81 / $1.95