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Idaho rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $26.53 / $79.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.12 / $7.64
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 / $1.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.52 / $8.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.09 / $5.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.92