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Rhode Island rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12