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Oklahoma rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $29.55 / $96.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.95 / $11.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.88 / $32.42
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 / $1.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $3.17 / $19.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.81 / $125.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.15