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West Virginia rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.31 / $8.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $10.92 / $10.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $7.28 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $13.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $7.28 / $8.67