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Louisiana rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.35 / $7.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.28 / $3.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.77 / $3.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.38