Aripiprazole injection (Abilify Asimtufii), per 1 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, abilify asimtufii, 1 mg

Payers reporting HCPCS J0402

Payer pricing summary

Low

Average

$2.2k

Median

$826

High

$15.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	556	$10	$442	$2.5k	567%	—	$3 – $25.0k
2	Aetna fee schedule · outpatient · +22 other terms	358	$7	$19	$126	665%	—	$0 – $1.7k
3	Cigna fee schedule · outpatient · +15 other terms	326	$9	$14	$12	85%	—	$0 – $72
4	Humana fee schedule · outpatient · +18 other terms	310	$6	$261	$1.6k	605%	—	$4 – $15.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	295	$9	$291	$2.2k	762%	—	$1 – $24.2k
6	Molina fee schedule · outpatient · +17 other terms	128	$9	$111	$478	431%	—	$5 – $4.8k
7	WellCare fee schedule · outpatient · +8 other terms	115	$6	$7	$2	31%	—	$6 – $14
8	Anthem fee schedule · outpatient · +19 other terms	103	$9	$34	$196	581%	—	$6 – $1.7k
9	Caresource fee schedule · outpatient · +7 other terms	69	$7	$7	$2	22%	—	$6 – $12
10	Devoted fee schedule · outpatient · +4 other terms	65	$6	$6	$0	5%	—	$5 – $7
11	Kaiser fee schedule · outpatient · +11 other terms	56	$9	$11	$8	69%	—	$6 – $46
12	Ambetter facility · fee schedule · outpatient · +5 other terms	50	$11	$11	$3	23%	—	$6 – $15
13	Optum fee schedule · outpatient · +10 other terms	34	$6	$8	$3	44%	—	$5 – $17
14	MultiPlan fee schedule · outpatient · +12 other terms	33	$1.4k	$6.5k	$9.2k	141%	—	$6 – $25.0k
15	Bcbs Tx fee schedule · outpatient	31	$25	$23	$11	45%	—	$6 – $45
16	Medica fee schedule · outpatient · +12 other terms	28	$959	$6.5k	$8.2k	125%	—	$6 – $24.5k
17	Oscar facility · fee schedule · outpatient · +9 other terms	27	$8	$8	$2	19%	—	$6 – $11
18	Clover fee schedule · outpatient · +5 other terms	24	$6	$6	$0	6%	—	$6 – $7
19	Medical Mutual facility · fee schedule · outpatient · +4 other terms	20	$9	$12	$6	50%	—	$3 – $26
20	Regence facility · fee schedule · outpatient · +6 other terms	20	$6	$7	$2	29%	—	$5 – $13
21	Healthpartners fee schedule · outpatient · +3 other terms	19	$7	$7	$0	3%	—	$6 – $7
22	Medicare fee schedule · outpatient · +4 other terms	18	$6	$6	—	—	—	$6 – $6
23	Aetna Better Health fee schedule · outpatient · +10 other terms	16	$6	$6	$0	6%	—	$6 – $7
24	Highmark fee schedule · outpatient · +8 other terms	16	$8	$37	$318	860%	—	$3 – $4.8k
25	Wellmark fee schedule · both · +8 other terms	14	$6	$6	$0	1%	—	$6 – $6

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