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New York rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.88 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
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 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $4.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.17 / $3.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.24 / $4.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $1.10 / $1.32