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North Dakota 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 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $12.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.24 / $8.13