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Utah rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $8.44 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $9.94 / $10.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $14.16 / $20.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.28 / $7.28