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New Mexico rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $5.19 / $5.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.25 / $7.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $17.02 / $28.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
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 / $3.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.35 / $3.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35