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Maryland 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 / $3.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23