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Pennsylvania rates for HCPCS J1943

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

Facilitymedian $6 · 10th–90th $3–$100%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$60%50%90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $7.59 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.55 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $11.48 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $3.24
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.62 / $5.62
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $8.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.80 / $16.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $7.76 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $4.57