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Washington rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $4.29 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.68 / $4.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $4.83 / $9.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.42 / $4.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $6.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.16 / $6.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $4.97 / $8.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.51 / $4.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.86 / $7.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35