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North Carolina rates for HCPCS J2426

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

Facilitymedian $25 · 10th–90th $14$7,5860%10%10th90th$25Professionalmedian $15 · 10th–90th $13$250%50%10th90th$15$10.0$50.0$200.0$1.0K$5.0K

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
$13.80 / $24.55 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $20.89
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00