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Iowa rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.71 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.59 / $10.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.24 / $10.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.12 / $9.12
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 / $7.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24