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New Mexico rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $225.60 / $225.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $8.67 / $62.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
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 / $6.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.83 / $18.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83