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Michigan rates for HCPCS J1631

Injection, haloperidol decanoate, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.82 / $15.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.53 / $5.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $9.78 / $18.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $2.22 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $58.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $8.44 / $26.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.62 / $5.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.30 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $5.73