go back

Virginia 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 / $1.74 / $3.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.59 / $1.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.36 / $3.56
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.75 / $1.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.53 / $2.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.51 / $1.93
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.51 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.51 / $1.75