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Missouri rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.56 / $1.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.56 / $1.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.57 / $3.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.89
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 / $2.79 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.51 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.51 / $1.74