go back

Arkansas rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $4.01 / $4.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.00 / $4.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $3.62 / $3.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.62 / $3.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.67