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Washington rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.16 / $6.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.57 / $3.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $4.71 / $9.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.39 / $4.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.83 / $6.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $4.95 / $8.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.39 / $4.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.77 / $7.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.90