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Pennsylvania rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Facilitymedian $14 · 10th–90th $7$280%10%20%10th90th$14Professionalmedian $7 · 10th–90th $7$110%50%90th$7$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$7.24 / $14.45 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $25.70 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.24 / $7.24
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.59 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $19.05
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $8.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $10.00