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Washington, DC rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $22.91 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.22 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.24 / $7.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $11.75