go back

Vermont rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.95 / $20.95 / $20.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $13.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $3.30 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $5.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $3.30 / $5.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.92 / $5.43