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Nebraska rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $6.83 / $15.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.83 / $62.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.80 / $7.73 / $7.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $7.33 / $7.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $6.61 / $6.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $17.14 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $6.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $12.20 / $24.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $13.69 / $46.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $6.83 / $7.51