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Kentucky rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.83 / $6.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.25 / $3.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.52 / $5.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.58 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.92 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.26