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Washington rates for HCPCS J0400

Aripiprazole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.83 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.66 / $0.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $5.25 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86