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Missouri rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.71 / $2,325.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.08 / $8.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $12.38 / $26.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $9.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.36 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $7.24 / $8.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $7.28 / $8.42