go back

Michigan rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $20.89 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $14.79 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.31 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $19.50 / $23.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.59 / $10.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.08 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.76