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Arizona rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $14.48 / $95.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.51 / $62.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $17.87 / $32.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.04 / $43.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.67 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83