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Pennsylvania rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $10.95 / $17.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.45 / $39.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.76 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $10.95 / $14.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.80 / $14.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.40 / $4.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $8.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $8.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $8.05