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Massachusetts rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $3.02 / $9.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $1.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $3.34 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.40 / $2.96
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $2.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.84 / $14.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.47
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.09 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.47