go back

Missouri rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $7.15 / $42.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $2.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.19 / $2.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $5.66 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.05 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.52