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Alaska rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $6.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $10.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $6.03 / $9.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $8.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.63 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.01 / $6.76