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New York rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.98 / $6.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.25 / $3.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.15
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $4.59 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $4.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.37