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Connecticut rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $1.10 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $2.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.76 / $0.83
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.77 / $0.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.86 / $0.95