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Alaska rates for HCPCS J1943

Injection, aripiprazole lauroxil, (Aristada Initio), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.99 / $21.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $6.04 / $7.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $10.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $5.88 / $9.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $8.40 / $13.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.88 / $6.56