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Kentucky rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $17.01 / $55.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.52 / $3.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $2.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.92 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.31