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New Hampshire rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.65 / $6.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $5.85 / $14.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $5.28 / $10.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.71 / $4.58