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Arizona rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.14 / $10.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $4.03 / $7.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $11.51 / $18.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.22 / $21.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $4.40 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35