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Nebraska rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $6.76 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.23 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.83 / $0.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.81 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $22.91 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.83 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.20 / $1.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.78 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.17