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Alaska rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$600%50%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.00 / $2.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $1.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.29 / $25.12