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Michigan rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $7.03 / $87.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $6.83 / $7.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $15.19 / $28.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $6.15 / $6.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $18.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $8.99 / $24.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $6.83 / $8.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.95 / $7.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.25