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California rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.52 / $7.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.28 / $7.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $5.19 / $11.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.26 / $9.17
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $4.20 / $7.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $9.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.90 / $7.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $4.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.25 / $7.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $5.08 / $5.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.57 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $6.92