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Illinois rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $7.70 / $16.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.58 / $6.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.76 / $81.48 / $183.38
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $10.66 / $57.50
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.72 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.88