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Arkansas rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.73 / $8.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.34 / $8.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.85 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $7.28 / $7.28
Cigna
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 / $7.37