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Virginia rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.82 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.51 / $3.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $7.05 / $11.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.01 / $7.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $4.01 / $4.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.47 / $4.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.47 / $4.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $5.38 / $8.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.35 / $4.20