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See a sample rate comparisonHCPCS J1943 (Aristada Initio) Fee Schedule
Medicare rates as of October 2026
HCPCS J1943 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, aripiprazole lauroxil, (aristada initio), 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Complexity Level | Low |
| Medicare Fee Schedule | $3.46 per 1 mg (October 2026 ASP) · View Medicare rates for J1943 |
| Medicaid Fee Schedule | $3.46 median of the 8 states in the free preview · View Medicaid rates for J1943 |
| Medicare Payment Limit | $3.245  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 65757-0500-03 - ARISTADA INITIO (LATEX-FREE) 675 MG/2.4 ML |
National average reimbursement for HCPCS J1943 by major payers:
$3.37
BCBS / Anthem
$3.28
UnitedHealthcare
$3.43
Aetna
$3.39
Cigna
Compare published rates across providers.
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HCPCS J1943
5 of 25 sample ratesHigher to lower in this preview
Timur Mushekov
Montefiore Medical Center
$7.86Published rateRebecca Stonis
Cleveland Clinic Health System East Region
$3.69Published rateSt. Charles Hospital Corp.
St Charles Hospital Corp
$3.31Published rateHalifax Hospital Medical Center, Halifax Medical Center
$3.14Published rateHazel Hawkins Memorial Hospital, San Benito Health Care District
$3.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1943 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J1943. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 65757-0500-03-NDC | Moderate | ARISTADA INITIO (LATEX-FREE) 675 MG/2.4 ML |
| J1941-HCPCS | Moderate | Injection, furosemide (furoscix), 20 mg |
| J1943-HCPCS | Low | Injection, aripiprazole lauroxil, (aristada initio), 1 mg |
| J1944-HCPCS | Low | Injection, aripiprazole lauroxil, (aristada), 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1943. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1943 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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