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Michigan rates for HCPCS 80342

Antipsychotics, not otherwise specified; 1-3

Facilitymedian $12 · 10th–90th $9–$280%10%20%10th90th$12Professionalmedian $11 · 10th–90th $10–$220%20%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $23.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $24.55 / $27.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.59 / $28.84
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $21.88