go back

Idaho rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.68 / $4.18
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $4.43 / $5.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.85 / $4.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.83 / $8.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35