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Wyoming 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 / $3.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.33 / $4.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $4.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $6.52 / $7.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35