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Maine rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $6.05 / $18.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.02 / $1.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
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
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $5.72 / $82.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.02 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.40