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Texas rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $8.88 / $12.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.45 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $30.47 / $60.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $6.29 / $8.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.40 / $10.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.40 / $12.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.40 / $8.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.55 / $5.94