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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
$7.28 / $20.42 / $27.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.91 / $18.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.19 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $7.28 / $11.80