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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
$3.98 / $9.12 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.27 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
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 / $3.98
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.76 / $6.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $9.12 / $17.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $17.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $8.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.46 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.24