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South Carolina rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.23 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.17 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.94 / $9.55
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.71 / $20.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.24 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $7.94