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Montana rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.31 / $9.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.31 / $9.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $7.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.68 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31