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Oregon rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $5.50 / $83.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.21 / $2.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.46 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $2.14 / $2.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $2.90 / $60.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.14 / $1.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.24 / $3.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.56 / $2.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.17 / $1.39
Regence BlueShield
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 / $1.21