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California rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $15.14 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.71 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $15.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.71 / $16.22
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.33 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.94 / $15.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.96 / $18.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $16.22