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Rhode Island rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $11.39 / $13.63
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86