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Texas rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $12.73 / $8,352.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.35 / $10.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $14.25 / $28.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.41 / $10.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $7.28 / $12.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $10.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.28 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.07 / $9.83