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Tennessee rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.20 / $7.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $95.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.98 / $7.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.67