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Rhode Island rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $10.89 / $10.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35