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Arizona rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $11.14 / $21.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.08 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $25.01 / $40.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $7.01 / $46.33
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $9.55 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28