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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
$3.02 / $3.31 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $4.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.24 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.55 / $4.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.07 / $4.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24