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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
$3.02 / $3.89 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.89