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Indiana rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $14.27 / $126.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.83 / $6.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $13.66 / $20.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $6.83 / $9.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $10.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.53
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 / $20.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $11.61