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Indiana rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $3.62 / $6.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $1.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $3.02 / $4.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.51 / $2.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $4.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.02