go back

Oklahoma 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
$0.90 / $6.96 / $61.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $5.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $2.20 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.84 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.89