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Massachusetts rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $5.25 / $16.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.97 / $2.06
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $1.06