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Nebraska rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $6.25 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $7.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.49 / $3.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.62 / $3.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.24 / $4.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.25 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.26 / $3.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.84 / $6.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.91 / $7.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.25 / $3.58