go back

Michigan rates for HCPCS J3230

Chlorpromazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $26.03 / $56.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $26.03 / $32.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.23 / $56.28 / $106.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $13.38 / $13.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $25.27 / $32.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $37.90 / $80.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $26.03 / $30.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $31.13 / $33.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $26.81