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Washington, DC rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $9.19 / $12.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.90 / $8.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.76 / $3.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.25 / $5.27