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South Carolina rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.33 / $0.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.86 / $1.07
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.41 / $0.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86