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New Mexico rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $16.00 / $59.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.12 / $2.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $1.44
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 / $1.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.77 / $1.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09