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Missouri rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $4.33 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.45 / $4.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $5.70 / $12.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.19
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.08 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.33 / $3.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $4.37 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.35 / $3.88