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.
Original text from hospital filings
ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE
Low
$2
Average
$1.0k
Median
$563
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 795.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 557 | $5 | $31 | $472 | 1523% | — | $0 – $12.5k |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 386 | $4 | $262 | $3.0k | 1144% | — | $0 – $78.8k |
| 3 | Cigna fee schedule · outpatient · +19 other terms | 347 | $5 | $127 | $865 | 680% | — | $0 – $9.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 329 | $5 | $46 | $405 | 885% | — | $0 – $5.4k |
| 5 | Humana fee schedule · outpatient · +19 other terms | 310 | $3 | $17 | $193 | 1106% | — | $0 – $2.9k |
| 6 | Molina fee schedule · outpatient · +21 other terms | 130 | $5 | $136 | $578 | 423% | — | $0 – $5.3k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 122 | $3 | $22 | $211 | 946% | — | $3 – $2.4k |
| 8 | Anthem fee schedule · outpatient · +21 other terms | 105 | $4 | $6 | $4 | 72% | — | $3 – $24 |
| 9 | Caresource fee schedule · outpatient · +7 other terms | 70 | $4 | $44 | $459 | 1034% | — | $3 – $5.3k |
| 10 | Devoted fee schedule · outpatient · +10 other terms | 67 | $3 | $34 | $272 | 804% | — | $3 – $2.5k |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 65 | $5 | $337 | $1.4k | 415% | — | $0 – $9.1k |
| 12 | Ambetter facility · fee schedule · outpatient · +10 other terms | 53 | $6 | $6 | $1 | 23% | — | $3 – $8 |
| 13 | Optum fee schedule · outpatient · +14 other terms | 36 | $3 | $75 | $436 | 583% | — | $0 – $2.8k |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $11 | $11 | $5 | 44% | — | $3 – $20 |
| 15 | Medicare fee schedule · outpatient · +8 other terms | 29 | $3 | $3 | $0 | 1% | — | $3 – $4 |
| 16 | Oscar facility · fee schedule · outpatient · +12 other terms | 25 | $4 | $5 | $1 | 19% | — | $3 – $6 |
| 17 | Clover fee schedule · outpatient · +6 other terms | 24 | $3 | $3 | $0 | 6% | — | $3 – $4 |
| 18 | MultiPlan fee schedule · outpatient · +13 other terms | 24 | $5 | $2.3k | $4.7k | 204% | — | $0 – $13.7k |
| 19 | Aetna Better Health fee schedule · outpatient · +9 other terms | 22 | $3 | $3 | $0 | 6% | — | $3 – $4 |
| 20 | Highmark facility · fee schedule · outpatient · +8 other terms | 22 | $5 | $5 | $3 | 55% | — | $3 – $15 |
| 21 | Medical Mutual facility · fee schedule · outpatient · +5 other terms | 21 | $6 | $7 | $3 | 47% | — | $2 – $14 |
| 22 | Regence facility · fee schedule · outpatient · +13 other terms | 21 | $3 | $4 | $1 | 32% | — | $3 – $7 |
| 23 | Healthpartners fee schedule · outpatient · +5 other terms | 19 | $4 | $4 | $0 | 3% | — | $3 – $4 |
| 24 | Tricare facility · fee schedule · outpatient · +5 other terms | 16 | $3 | $2.7k | $4.0k | 148% | — | $0 – $8.8k |
| 25 | Wellmark fee schedule · both · +10 other terms | 14 | $3 | $3 | $0 | 1% | — | $3 – $3 |
← Hospitals reporting HCPCS J1943 · Snapshot 20261111T120946Z-9134e7f7