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Minnesota rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $62.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $10.57 / $46.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.14 / $9.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $24.13 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $6.72 / $8.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $22.02 / $27.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $8.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $10.49 / $26.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $5.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $12.38