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Texas 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 / $2.68 / $3.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.53 / $2.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $3.59 / $7.17
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.53 / $2.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.53 / $2.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.51 / $2.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.04