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Maryland rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.62 / $9.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03