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Oregon rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $12.34 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $6.83 / $62.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $10.17 / $10.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $7.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $7.10 / $18.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $9.77 / $21.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.24 / $8.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $6.83 / $15.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $11.14 / $21.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.99 / $14.00
Regence BlueShield
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