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Pennsylvania rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $3.54 / $37.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.81 / $2.38
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $356.04 / $762.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $13.89 / $47.32
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.99 / $731.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $3.68 / $40.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $2.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.80 / $0.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.85 / $1.38