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Arkansas rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $10.19 / $68.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $3.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.92 / $3.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $3.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.52 / $3.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.29
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.60 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $2.31