go back

Maine rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $10.21 / $11.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.66 / $5.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $10.21 / $11.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.05 / $11.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $7.70