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Tennessee rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.86 / $15.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.46 / $8.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.37