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Wisconsin rates for HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Facilitymedian $1 · 10th–90th $0$30%20%10th90th$1Professionalmedian $1 · 10th–90th $0$10%10%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.68 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.76 / $0.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.71 / $0.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $1.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.71 / $0.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $5.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.79 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.17