go back

Rhode Island rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.24 / $7.24
Cigna
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
$7.24 / $7.24 / $7.24