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Kansas rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $4.54 / $14.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.31 / $4.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.78 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.81 / $4.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.26 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.29