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Iowa rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $23.35 / $23.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $8.75 / $39.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.53 / $5.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $7.96 / $45.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.21 / $23.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $22.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $6.32 / $18.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $11.55 / $36.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.53
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68