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Maine rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $49.50 / $97.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.88 / $3.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $6.72 / $8.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $29.30 / $115.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.98 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.62