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North Carolina rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $13.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $22.39 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $17.38 / $17.38
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 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.59 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.59 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00