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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
$7.28 / $7.28 / $4,274.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $7.97 / $14.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.33 / $22.93 / $27.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $8.44 / $9.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $20.93 / $26.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.16 / $9.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.36 / $16.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $13.20