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Arkansas rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.89 / $4.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.89 / $3.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.53 / $3.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.72