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New Hampshire rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $3.37 / $12.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.64 / $4.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.81 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.09 / $1.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $2.58 / $3.95