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North Dakota rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.65 / $3.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.65 / $3.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.35 / $4.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.33 / $9.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.33 / $3.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.35 / $3.75