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Washington rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $9.36 / $44.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.84 / $9.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $8.36 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.01 / $26.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $9.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $5.50 / $12.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $22.14 / $22.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.38 / $26.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Regence BlueShield
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 / $4.40