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Washington, DC rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $8.85 / $11.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $12.57 / $21.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.83 / $11.07