go back

Kansas rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.94 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.71 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.13 / $10.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $8.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $8.91