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North Carolina rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $10.95 / $60.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.21 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $2.21 / $2.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.00
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 / $2.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.29 / $2.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,480.11 / $3,480.11 / $21,452.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $1.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00