go back

Iowa rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $4,274.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.08 / $12.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.16 / $8.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.28 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.70 / $9.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $10.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $10.61 / $14.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $8.33 / $10.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24