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Idaho rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $8.94 / $141.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.83 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.83 / $6.83
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
$7.51 / $9.03 / $20.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $10.93