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Massachusetts rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $8.32 / $39.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $12.48 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $125.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.22 / $4.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.92 / $3.94
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 / $2.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $4.44 / $38.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $125.33
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.13 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $8.09