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California rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $6.66 / $7.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $7.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $5.33 / $11.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.35 / $9.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $4.20 / $7.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.01 / $7.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $95.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $4.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $7.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.68 / $5.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $6.89