go back

Arizona rates for HCPCS J2765

Metoclopramide Hcl Injection

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