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Arizona rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $5.25 / $47.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $2.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $3.55 / $6.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.97 / $6.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.63 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09