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Washington rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.77 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.66 / $2.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.51 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.60 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.89 / $4.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.64 / $1.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
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