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Indiana rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $7.47 / $38.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.81 / $0.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.60 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.80 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.92
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 / $2.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.89 / $1.36