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Maine rates for HCPCS J0401

Inj Aripiprazole Ext Rel 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $7.57 / $8.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $8.84 / $23.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $18.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.57 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $7.28 / $10.56