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Virginia rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.84 / $4,405.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.41 / $3.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.86 / $11.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.90 / $7.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.90 / $4.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $5.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.47 / $4.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.47 / $4.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.25 / $4.08