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Utah rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Facilitymedian $85 · 10th–90th $10$1070%20%10th90th$85Professionalmedian $9 · 10th–90th $9$100%20%40%10th90th$9$10.0$20.0$50.0$100.0

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
$10.00 / $85.11 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.91 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.02 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.89 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12