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Montana rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.66 / $39.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $46.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $46.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.76 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40