go back

New Jersey rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $9.05 / $17.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.52 / $9.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $3,243.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.92