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Iowa rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $7.11 / $12.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $7.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.25 / $5.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.76 / $4.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.70 / $7.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.91 / $7.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26