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Maine rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.50 / $25.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $1.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
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
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.14 / $30.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.19 / $1.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.09 / $1.64