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South Carolina rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $14.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $5.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $3.66 / $6.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.18 / $4.73
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $4.21 / $8.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35