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Oregon 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
$1.05 / $2.93 / $72.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $1.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.56 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $2.14 / $3.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.13 / $3.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.92 / $1.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.71 / $3.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.31 / $3.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.89