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Alaska rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.92 / $30.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $8.19 / $39.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $11.71 / $11.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $14.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $37.35 / $58.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $37.35 / $88.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.60 / $8.88