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Hawaii rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.10 / $1.45