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Hawaii rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $7.92 / $22.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $1.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.30 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.24 / $1.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.15 / $1.44