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Indiana rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $8.27 / $50.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $2.18 / $3.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.08 / $1.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.25
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 / $2.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $2.18