go back

Oregon rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $16.22 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.23 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $10.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $14.45 / $16.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $9.77 / $11.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.77 / $10.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.51 / $14.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.22 / $21.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $10.00 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12