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Tennessee rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $16.22 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.51 / $3.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.12 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.78 / $2.63