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Nebraska rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $44.98 / $148.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $7.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.00 / $3.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.04 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.04 / $2.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.50 / $6.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $4.79 / $74.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.92 / $9.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.50 / $11.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.49 / $14.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.15