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Virginia rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.14 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $14.45 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $12.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.22 / $16.98
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.24 / $8.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $10.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.76 / $10.72
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.76 / $10.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.24 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $8.91