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Virginia rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.73 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.73 / $0.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.47 / $0.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.86 / $1.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.53 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.08