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Illinois rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.27 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.26 / $3.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $12.72 / $60.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.38 / $7.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.72