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South Dakota rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3,276.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.35 / $4.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $4.76 / $9.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.33 / $3.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $4.00 / $5.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.91 / $7.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33