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Utah rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $85.18 / $96.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $7.92 / $7.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $9.49 / $12.33
Cigna
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