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Montana rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $25.70 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.98 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $10.23 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72