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Rhode Island rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $22.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $29.97