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Maryland rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5,805.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13