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Wyoming rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $27.54 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.82 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.95