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South Carolina 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
$10.64 / $30.23 / $91.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.09 / $1.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $10.50 / $44.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.57 / $1.00
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 / $0.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.12 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.85 / $0.89