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South Carolina rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $7.64 / $30.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.34 / $7.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $6.04 / $9.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $8.71 / $10.03
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $8.71 / $17.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28