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Nebraska rates for HCPCS J1630

Injection Haloperidol Up To 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.83 / $53.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $2.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.91 / $0.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.90 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.80 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $23.01 / $74.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.84 / $1.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.04 / $1.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.38 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.20