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Texas rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Facilitymedian $2 · 10th–90th $1–$40%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$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
$3.47 / $3.47 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.62 / $3.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.78 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.40 / $0.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.65 / $3.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.79 / $2.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.52 / $0.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85