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Illinois rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $13.01 / $49.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.09 / $2.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.24 / $20.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.64 / $10.27
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $1.46