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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
$3.31 / $7.76 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $6.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.01 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $4.17