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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
$7.94 / $11.22 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $21.88 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $7.24