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North Carolina rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $13.64 / $79.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.89 / $8.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $8.63 / $10.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $6.38 / $10.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $6.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $4.00 / $9.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $4.00 / $6.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $125.33 / $125.33