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Oregon rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $5.25 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.45 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.19 / $2.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.29 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.15 / $1.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.35 / $2.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.55 / $3.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.17 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.20