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Illinois rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $5.43 / $8.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.35 / $4.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $12.83 / $61.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.73 / $8.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $5.38 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.89