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Louisiana rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $5.48 / $37.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.09 / $1.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.60 / $1.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.53