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Texas rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.13 / $7.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.28 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $7.69 / $15.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.65 / $4.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.25 / $5.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $4.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.24 / $5.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.38