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Kansas rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.89 / $1.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.49 / $0.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.89