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Virginia rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $23.31 / $152.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.17 / $7.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $12.57 / $18.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $8.19 / $38.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $17.14 / $31.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $8.26 / $18.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $8.26 / $18.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $6.83 / $8.57