go back

Missouri rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.33 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.34 / $4.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.53 / $11.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.05
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.08 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.26 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.25 / $3.76