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California rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.61 / $1.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.71 / $1.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.77 / $0.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.73 / $1.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $1.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.75 / $0.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.99 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.76