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Oregon rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.47 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $10.00 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $15.85 / $18.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.76 / $14.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.76 / $9.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.12 / $15.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.00 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.94 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $11.22 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24