go back

Ohio rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Facilitymedian $2 · 10th–90th $0–$20%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.0$0.1$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.87 / $1.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.86 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.95 / $1.10
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.69 / $0.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.91