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Washington rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $12.59 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.76 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.13 / $12.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.13 / $19.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.59 / $8.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.32 / $20.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.55