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Idaho 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
$0.97 / $3.23 / $56.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.88 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.12 / $29.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.88 / $2.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.28