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California rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.13 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.01 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.57 / $32.36
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $23.44 / $26.92
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.62 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.37 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.33 / $15.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $13.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.61 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $10.72