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Maine rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $15.85 / $17.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $7.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $35.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $17.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $11.95