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Wyoming rates for HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $6.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $9.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83