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Massachusetts rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $11.48 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $11.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $18.20 / $23.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $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 / $7.24
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $12.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $18.20 / $23.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.24 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $10.23