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New York rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.41 / $5,299.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.34 / $8.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $5.82 / $7.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.28 / $7.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $6.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $10.29 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $9.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.86 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.28 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.55 / $7.55 / $7.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.55