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Indiana rates for HCPCS J1631

Injection Haloperidol Decanoate Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $16.27 / $21.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.45 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $8.80 / $13.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.40 / $6.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.50
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 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.88