go back

Pennsylvania rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $3.53 / $4.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $3.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.66 / $4.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $4.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.51 / $1.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.09