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West Virginia rates for HCPCS J1943

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.28 / $5,805.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.24 / $3.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $5.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $9.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.38