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Minnesota rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $14.13 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.08 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $23.99 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.71 / $9.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $26.92
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $10.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.96 / $16.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $13.18