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Arizona rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $8.80 / $13.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.66 / $39.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $15.93 / $26.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.53 / $27.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $7.36 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40