go back

Michigan rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.56 / $1.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.49 / $6.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.54 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.27 / $4.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.56 / $1.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.60