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Michigan rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $4.05 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.83 / $1.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.84 / $3.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $7.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $3.87 / $20.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $1.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.92 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.89 / $1.05