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Alaska rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $45.95 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.54 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $3.36 / $7.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $4.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $9.69 / $15.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.30 / $8.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.70 / $14.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.56 / $9.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.72 / $5.43