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North Carolina rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.51 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
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 / $0.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.33
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $100.00 / $100.00