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Delaware rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $9.03 / $54.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $9.97 / $14.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.64 / $2.84