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Iowa rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $11.72 / $3,276.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $7.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.35 / $6.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.88 / $5.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $4.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $4.84 / $7.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.91 / $6.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33