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Ohio rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $8.47 / $52.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.86 / $4.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $4.01 / $11.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.06 / $3.19
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.52 / $3.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.08 / $3.35
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 / $4.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $11.09 / $33.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $6.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.92 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.24