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Louisiana rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.56 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $1.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.75