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New Hampshire rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $3.72 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.24 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.58 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.20