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Hawaii rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $12.82 / $12.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $12.82 / $12.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.32 / $10.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.73 / $10.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.48 / $10.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.03 / $8.55