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Oregon rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.53 / $0.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.66 / $0.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.57 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.73 / $0.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $9.71 / $17.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86