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Oklahoma rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.60 / $6.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.95 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $3.60 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.33 / $3.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35