go back

Hawaii rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $21.96 / $21.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $21.95 / $21.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $10.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $8.19 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $8.63 / $10.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.81 / $27.96