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Alaska rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $19.07 / $63.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $20.56 / $63.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $3.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $3.70 / $5.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $3.70 / $8.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.64 / $3.27