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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
$7.28 / $7.28 / $14.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.31 / $8.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $19.51 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $9.28 / $19.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $15.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.19