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South Dakota rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Facilitymedian $43 · 10th–90th $5–$1410%10%10th90th$43Professionalmedian $1 · 10th–90th $1–$30%50%10th90th$1$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $45.71 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.02 / $2.69
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.15 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $61.66 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.12 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.07 / $1.23
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.10