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California rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $28.64 / $108.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.11 / $12.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.01 / $4.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.38 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.52 / $8.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.73 / $9.61
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.06 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.99 / $8.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.17 / $8.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $125.33 / $125.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $6.04 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.17 / $4.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $4.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $9.06 / $9.06
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.81 / $2.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.85 / $3.63