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Illinois 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
$1.07 / $15.88 / $63.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.83 / $1.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $5.52 / $22.50
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $2.09 / $16.32
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
$1.04 / $1.04 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.85 / $1.02