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South Carolina 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
$1.59 / $6.43 / $318.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.59 / $2.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.65 / $2.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.75 / $2.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.75 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51