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Indiana rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $39.26 / $154.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $2.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $3.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $3.62 / $5.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.17 / $2.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.52
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 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.44