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Michigan rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.35 / $10.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.34 / $3.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $7.21 / $13.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.30 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.24 / $3.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.33 / $9.32
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.34 / $3.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.73 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45