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Vermont rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.83 / $6.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $6.44 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $6.44 / $9.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $6.83 / $10.51