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Arizona rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $20.23 / $68.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.02 / $2.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $2.67 / $4.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.82 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.32 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80