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Nebraska rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $33.04 / $139.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.51 / $2.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.17 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.15 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $25.23 / $74.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.12 / $1.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.35 / $1.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.32 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.30