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California rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $11.57 / $95.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.19 / $2.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.15 / $1.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.09 / $2.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.38 / $2.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $3.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.31 / $2.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.09 / $1.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.09 / $2.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.19 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.73