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Idaho rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $8.71 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.71 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.47 / $17.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24