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Kentucky rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.31 / $1.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.90 / $0.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.76 / $0.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.76 / $1.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.86 / $0.86