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Montana rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.08 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $16.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.89 / $10.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28