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North Dakota rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.54 / $3.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.55 / $3.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.24 / $4.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.33 / $9.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.26 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.25 / $3.64