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Michigan rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $14.23 / $44.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $7.63 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $16.98 / $31.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $7.82 / $10.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $7.52 / $11.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.63 / $17.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $9.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $14.23 / $44.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $7.63 / $9.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.57