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Louisiana rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $6.88 / $154.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.83 / $7.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $21.61 / $24.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $14.27