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Montana rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Facilitymedian $11 · 10th–90th $9$980%20%40%10th90th$11Professionalmedian $9 · 10th–90th $9$270%50%10th90th$9$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $29.51
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $29.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $51.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12