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Alaska rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.48 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.29 / $1.73