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New Hampshire rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.11 / $14.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.68 / $13.10 / $33.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.28 / $7.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $11.82 / $22.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.49 / $11.48