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Illinois rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $25.16 / $76.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.85 / $3.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.07 / $3.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $31.71 / $105.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $5.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.81 / $18.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.09 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.29