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Virginia rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $9.84 / $13.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.62 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $10.16 / $15.34
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $5.28 / $25.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $23.21 / $29.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $5.32 / $25.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.32 / $25.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.40 / $5.52