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Montana rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.83 / $3.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $4.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.64 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51