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New York rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $5.50 / $13.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.83 / $7.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $22.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $13.38 / $14.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $13.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $19.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $9.66 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $17.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.19 / $15.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $12.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.83 / $9.02