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Missouri rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $14.00 / $85.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.88 / $13.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.97 / $4.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.82 / $2.29
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 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.82 / $14.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.67 / $125.33
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.81 / $2.15