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Washington rates for HCPCS J3486

Ziprasidone Mesylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $8.40 / $66.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $7.51 / $11.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $10.85 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.80 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $10.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $8.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $6.83 / $20.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $16.30 / $16.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.27 / $19.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83