go back

Indiana rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $7.66 / $14.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.28 / $3.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.50 / $8.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.25 / $4.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.24 / $8.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.05