go back

Washington rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $7.28 / $77.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.98 / $11.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $4.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.17 / $125.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $5.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.44 / $20.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $4.84 / $21.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.77 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.52 / $6.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $5.74 / $5.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.71 / $5.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.99 / $2.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95