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California rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Facilitymedian $20 · 10th–90th $16$410%20%10th90th$20Professionalmedian $15 · 10th–90th $15$350%50%90th$15$10.0$50.0$200.0$1.0K

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
$22.39 / $31.62 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $32.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.78 / $22.39
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.60 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $37.15