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Pennsylvania rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $12.40 / $47.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $7.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $4.84
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $3.22 / $137.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.96 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.96 / $2.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $13.56 / $57.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $3.13 / $131.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $12.59 / $63.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.54 / $7.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $9.40 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $1.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $3.12