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New York rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.00 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $6.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.86 / $5.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.82