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Maine rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.94 / $3.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.95 / $10.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $8.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.94 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.88