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New York rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.47 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.09
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.16 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $14.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.07 / $11.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.31 / $4.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.47 / $3.98