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New Hampshire rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.69 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.27 / $6.21
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
$1.43 / $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
$2.04 / $2.50 / $4.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.64 / $2.09