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Arizona rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $6.50 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.94 / $7.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $11.24 / $17.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.15 / $20.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $4.30 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25