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Nebraska rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.53 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $3.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.70 / $1.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.69 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.54 / $1.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $3.38 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.82 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.51 / $1.66