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Vermont rates for HCPCS J1944

Injection Aripiprazole Lauroxil (Aristada) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.69 / $6.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.69 / $6.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.35 / $5.15