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Alaska rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $13.33 / $47.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $13.53 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $23.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $11.84 / $18.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.58 / $16.92 / $27.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $10.92 / $14.69