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Mississippi rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $8.68 / $8.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.08 / $9.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $7.28 / $9.46