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Maine rates for HCPCS 80173

Haloperidol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $39.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $15.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $21.07 / $147.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $16.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $20.14 / $33.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $19.82 / $22.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $15.78 / $19.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $39.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $15.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $11.90 / $28.77