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Missouri rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $18.62 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.12 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.51 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $34.67 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.16 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $9.12 / $11.48