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New Jersey rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $7.35 / $44.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $13.99 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $10.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.36