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Utah rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $7.32 / $10.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.40 / $4.40