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Tennessee rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $17.27 / $245.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.83 / $7.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $32.86