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Louisiana rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $24.26 / $71.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $8.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $5.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.29 / $4.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.21 / $3.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.81 / $2.25