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Louisiana rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.49 / $16.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $8.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.09 / $7.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.67