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Oklahoma rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.05 / $8.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.63 / $32.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $46.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $7.24 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40