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Wisconsin rates for HCPCS J1943

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

Facilitymedian $5 · 10th–90th $3$100%20%10th90th$5Professionalmedian $3 · 10th–90th $3$60%20%10th90th$3$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.76 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.17 / $6.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $7.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $6.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $7.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $5.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.31 / $3.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.72 / $10.72
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.37 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $4.57