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Illinois rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $11.79 / $24.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.28 / $8.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $9.30 / $79.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.74 / $14.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.46 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.80