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Massachusetts 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 / $6.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.37 / $3.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $8.71 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $4.15 / $8.84
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $6.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.25 / $4.55