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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
$2.04 / $18.20 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.45 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.10 / $1.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.87
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 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.81 / $1.20