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Oklahoma rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $7.37 / $41.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $7.37 / $7.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.63 / $32.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $17.14 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83