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Montana rates for HCPCS 80173

Haloperidol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $26.92 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $18.20 / $22.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $21.38 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.92 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $19.95