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North Carolina rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.78 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.25 / $3.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.88 / $6.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
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 / $4.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.87 / $4.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00