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Kansas 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
$1.53 / $1.53 / $6.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.54 / $2.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.95 / $2.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.54 / $2.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.75