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Utah rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.18 / $19.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86