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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
$7.28 / $7.28 / $13.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $7.93 / $8.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $7.92 / $7.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.23 / $8.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $7.24 / $12.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.24 / $7.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $7.28 / $7.91