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North Carolina rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $38.94 / $193.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $10.11 / $16.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $27.20 / $33.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $23.10
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 / $19.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.11 / $21.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
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 / $9.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00