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New Mexico rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $11.29 / $11.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.08 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $21.64 / $35.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.28 / $7.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28