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California rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $14.48 / $16.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $14.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $11.63 / $26.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.28 / $15.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $8.27 / $16.18
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $19.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $8.74 / $16.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $10.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $15.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $8.00 / $12.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $14.96