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Maryland 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 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $6.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $23.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $6.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.55