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North Carolina rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $9.24 / $8,820.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.28 / $11.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $14.10 / $14.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $7.65
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 / $8.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $8.66 / $9.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00