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Rhode Island rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $10.56 / $10.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25