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Texas rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $6.87 / $46.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $1.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $3.19 / $6.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.13 / $27.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $9.60 / $42.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.08 / $1.86
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.94 / $2,762.00 / $3,623.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.09 / $1.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.09 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.03 / $1.47