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Illinois rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $14.45 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.29 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.25 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $7.24 / $20.89
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.78 / $0.93