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Connecticut rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.02 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $11.48 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.94 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.24 / $8.13