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Oklahoma rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.64 / $2.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.51 / $1.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.64 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51