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Oklahoma rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.52 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.94 / $3.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.52 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.26 / $3.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.25 / $3.25