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New York rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $3.03 / $9.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $2.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.12
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.53 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $2.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.64 / $4.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.26 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.08
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $1.09 / $1.12