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Texas rates for HCPCS J0401

Injection, aripiprazole (Abilify Maintena), 1 mg

Facilitymedian $13 · 10th–90th $6–$290%20%10th90th$13Professionalmedian $7 · 10th–90th $7–$120%50%90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$7.08 / $14.13 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $11.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $13.80 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $17.78 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.47 / $25.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.24 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.47 / $23.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.24 / $7.24