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Hawaii rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.89 / $4.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.76 / $4.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.74 / $4.04