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Maine rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.77 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.03 / $7.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $18.20