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Pennsylvania rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Facilitymedian $21 · 10th–90th $9$450%10%10th90th$21Professionalmedian $9 · 10th–90th $9$190%50%90th$9$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $21.88 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $23.44
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $13.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $20.42 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $10.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $67.61
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $11.75
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $33.11
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $10.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $13.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.23 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $16.60