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New Hampshire rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.52 / $6.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $6.83 / $6.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $10.25 / $28.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $6.83 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.83 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $11.37 / $21.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $19.23 / $29.49