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Wyoming 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 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28