go back

Montana rates for HCPCS J1943

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

Facilitymedian $4 · 10th–90th $3–$160%50%10th90th$4Professionalmedian $3 · 10th–90th $3–$90%50%90th$3$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $9.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.57 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24