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Georgia rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.28 / $10.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $11.85 / $26.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.28 / $7.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $14.27
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
$5.70 / $12.00 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.67