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Missouri rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $26.92 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.57 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.37 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $33.11 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.68 / $5.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $6.17 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.98 / $4.90