go back

Wisconsin rates for HCPCS J2426

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

Facilitymedian $22 · 10th–90th $15–$460%20%10th90th$22Professionalmedian $15 · 10th–90th $15–$280%50%90th$15$10.0$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.91 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $28.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $33.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $15.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $44.67
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.42 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $20.89