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Michigan rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.33 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.41 / $2.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.75 / $0.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.86 / $0.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.86 / $1.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.91