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Michigan rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $9.86 / $42.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.86 / $3.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.07 / $5.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $4.01 / $7.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.20 / $1.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.52 / $3.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.99 / $4.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $8.96 / $37.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.86 / $3.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.89 / $4.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.00 / $2.31