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New Jersey rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.96 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.32 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $9,332.54 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.51 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.32