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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
$7.64 / $15.20 / $9,901.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.64 / $8.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $15.36 / $24.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.91 / $16.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $8.67 / $8.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.28 / $9.32
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.28 / $9.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.28 / $8.67