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Oklahoma rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.81 / $13.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $8.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $9.02 / $14.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $7.24 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.24 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.80