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Maine rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $23.99 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.75
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $6.76 / $8.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $21.88 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.57 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.63