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Michigan rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $5.70 / $26.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.47 / $4.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.56 / $0.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.09 / $1.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $4.80 / $22.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.10 / $2.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.25 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.43