go back

Indiana rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $16.97 / $32.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.34 / $7.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $14.56 / $19.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $7.28 / $10.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.28 / $19.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.02