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Texas rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $6.43 / $2,703.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.38 / $4.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $7.51 / $14.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $95.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.79 / $4.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.35 / $5.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $4.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.35 / $5.85
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.51