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Maine rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $7.77 / $8.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.03 / $4.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.05 / $10.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $7.77 / $8.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.03 / $8.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.35 / $4.86