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New Mexico rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.08 / $5.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.12 / $7.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $17.02 / $28.59
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 / $3.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.24 / $3.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25