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New Hampshire rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Facilitymedian $0 · 10th–90th $0–$20%20%40%90th$0Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$0.0$0.1$0.1$0.2$0.5$1.0$2.0

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.62 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.32 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.85 / $1.51