go back

Maryland rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $4.90 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.07 / $2.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.20 / $1.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02