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North Dakota rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $6.83 / $6.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.83 / $6.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.45 / $7.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $7.44 / $7.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.34 / $6.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $9.60 / $85.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.83 / $7.42