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Missouri rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $9.55 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.63 / $11.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.79 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.63 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.83 / $1.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.78 / $1.02