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New York rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $6.02 / $11.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $4.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $8.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $3.65 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.82 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.96 / $2.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.88 / $1.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $5.73 / $7.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $5.38 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $2.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.88 / $1.88