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Utah rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.88 / $3.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.54 / $4.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $6.50 / $9.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.35 / $3.35