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West Virginia rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $49.35 / $62.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $6.83 / $6.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $10.25 / $10.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $15.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.68 / $15.68 / $39.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $38.65