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Georgia rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $16.80 / $54.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.10 / $1.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.18 / $1.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.09 / $1.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $2.14
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
$0.43 / $0.43 / $1.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,638.27 / $3,425.00 / $5,938.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $1.40