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Maryland rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9,332.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.07 / $7.07