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Utah rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $4.49 / $4.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $6.34 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.25 / $3.25