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New Jersey rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.90 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.71 / $0.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.75 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.98