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Nebraska rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $12.67 / $4,274.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.28 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $7.83 / $8.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $8.10 / $8.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.28 / $8.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $10.73 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.24 / $7.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $10.61 / $14.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $8.14 / $14.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.28 / $8.01