go back

West Virginia rates for HCPCS J1944

Injection, aripiprazole lauroxil, (Aristada), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $5.03 / $5.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.35 / $3.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $6.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $9.82 / $9.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.32