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Oregon rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.97 / $6.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.28 / $7.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $4.43 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $7.10 / $8.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.65 / $6.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.44 / $4.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.73 / $6.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.43 / $6.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.81 / $3.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $4.94 / $11.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25