go back

New Hampshire rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.24 / $9.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $6.60 / $18.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $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
$5.97 / $7.33 / $13.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $26.49 / $40.01