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Missouri rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.82
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 / $0.86 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $0.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $0.87