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Rhode Island rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $4.79 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.12
BCBS
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 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.95