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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
$7.57 / $11.31 / $20.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $11.07 / $21.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.89 / $9.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.28 / $8.08