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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
$3.02 / $3.02 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.55 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $4.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.90 / $9.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.24 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.24 / $3.63