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Louisiana rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.91 / $10.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.45 / $5.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $5.07 / $7.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $5.07 / $5.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $9.19