go back

Hawaii rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.01 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.76 / $4.17