go back

South Carolina rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $19.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $7.59 / $7.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $8.07 / $28.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.58 / $12.72
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 / $4.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $6.24 / $26.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40