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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
$7.57 / $8.94 / $15.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.00 / $14.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $10.52 / $20.32
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.47 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $17.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.05 / $15.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $10.89 / $19.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.67 / $8.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $8.41 / $15.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28