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Indiana rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $7.75 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $3.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $6.68 / $8.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.35 / $4.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.35 / $8.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $6.52 / $6.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.19