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North Carolina rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $3.86 / $8,150.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.33 / $4.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.47 / $8.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
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 / $4.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $3.99 / $4.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $95.00