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Indiana rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $16.98 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.96 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $14.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.96 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.91