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Idaho rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $5.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.84 / $5.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.40 / $4.40
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
$4.84 / $5.83 / $9.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.28 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $6.16