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Alaska rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $11.04 / $143.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $12.70 / $62.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $21.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $27.51 / $43.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $27.51 / $64.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $10.25 / $13.78