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Maryland rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $9.73 / $51.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.86 / $11.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.52 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.81 / $8.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.00 / $2.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.95 / $3.40