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Louisiana rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.45 / $7.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $4.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.69 / $3.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.32