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Tennessee rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $14.03 / $61.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $4.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.02 / $3.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.86 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $125.33 / $125.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.81 / $2.14