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North Dakota rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.86 / $0.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $0.96