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West Virginia rates for HCPCS J3485

Injection, zidovudine, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.27 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.51 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.51 / $2.19