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Wisconsin rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.94 / $3.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.56 / $3.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $3.66 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.35 / $2.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.51 / $3.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $3.02 / $3.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.51 / $3.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $3.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.51 / $3.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $3.02 / $3.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.35 / $5.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.12 / $2.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.96