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South Carolina rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $30.70 / $97.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.10 / $1.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $6.77 / $23.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.33 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $1.25 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $1.31