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Idaho rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.00 / $9.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $9.65 / $13.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $10.52 / $17.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $8.73 / $9.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28