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Texas rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $7.22 / $67.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.81 / $1.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $10.00 / $19.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $5.63 / $37.79
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $3.44 / $60.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.80 / $2.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.80 / $1.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.80 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.89 / $0.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.08 / $1.21