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Nebraska rates for HCPCS J1942

Aripiprazole lauroxil 1mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.10 / $3.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.10 / $5.17