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Oregon rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.86 / $14.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $14.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $10.01 / $14.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $15.63 / $18.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $10.41 / $15.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.71 / $9.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.83 / $15.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $10.01 / $14.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.89 / $8.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $10.85 / $21.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28