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Iowa rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $17.14 / $68.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $62.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $6.22 / $6.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $12.36 / $52.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $12.20 / $27.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $16.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $8.63 / $20.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $11.55 / $45.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14