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Ohio rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.50 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.29 / $7.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $5.68 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.38
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 / $5.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $5.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.07 / $4.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.94