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Hawaii rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $15.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $15.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.28 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.60 / $6.66
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $10.62 / $22.59