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Pennsylvania rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $7.79 / $10.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $7.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.63 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $6.63 / $10.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $10.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $3.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.37