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Wisconsin rates for HCPCS J1942

Aripiprazole lauroxil 1mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.31 / $8.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.65 / $4.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.73 / $4.05