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Wyoming rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98