go back

Maryland rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $60.30 / $92.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $6.83 / $6.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $34.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $11.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $7.19