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Nebraska rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $6.44 / $3,276.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $7.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.60 / $3.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.73 / $3.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.35 / $4.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.33 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.33 / $3.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.01 / $6.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.00 / $6.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $3.98 / $8.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.35 / $3.69