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Maine rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.83 / $1.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $4.67 / $4.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.83 / $3.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.19