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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
$7.08 / $9.12 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $12.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.76 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.32 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.24 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.51 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.24 / $8.71