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Iowa rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $1.09 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.65 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.64 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.86 / $0.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.54 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.55 / $0.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.88