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North Dakota rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $68.39 / $74.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $22.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.97 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.97 / $2.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.99 / $3.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.26 / $27.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.87 / $125.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.18