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Idaho rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $7.56 / $55.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.94 / $32.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $1.20 / $1.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.74