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Massachusetts 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 / $1.51 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.57 / $1.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $4.05 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.51 / $1.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.93 / $4.11
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 / $1.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $3.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.51 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.51 / $2.56