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Oregon rates for HCPCS J3485

Injection Zidovudine 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.89 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $3.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.15 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $3.54 / $4.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.02 / $3.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.66 / $1.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.74 / $4.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.02 / $3.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.79 / $1.89
Regence BlueShield
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