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Pennsylvania rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $14.41 / $22.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $14.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.89 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.55 / $7.55
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $21.63 / $21.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $12.35 / $22.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $22.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $7.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.42 / $6.42 / $7.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $7.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.50