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Kentucky rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.28 / $12.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $8.58 / $14.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $7.28 / $7.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.73 / $11.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.01 / $11.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $7.28 / $13.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.28 / $7.28