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Oregon rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.90 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.57 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $7.24 / $8.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.63 / $6.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.63 / $4.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.17 / $6.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.57 / $9.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.63 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.13 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31