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Massachusetts rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $3.63 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2.88 / $7.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.07 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.91
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.91 / $11.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2.88 / $7.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.07 / $2.45
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $181.97 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.86 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $2.45