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Iowa rates for HCPCS J1630

Injection Haloperidol Up To 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $3.62 / $68.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.41 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.91 / $0.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.45 / $12.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.72 / $35.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.94 / $2.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.04 / $1.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.38 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.88 / $0.95
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84