go back

Illinois rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $20.63 / $150.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.83 / $7.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $31.38 / $209.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $12.36 / $60.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $8.88 / $8.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $12.29