go back

Nebraska rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $11.22 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $8.32 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.41 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.71 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $7.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.24 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.24 / $8.91