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Kansas rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $8.71 / $31.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.86 / $10.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.25 / $8.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $8.16 / $11.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.24 / $7.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.67