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Utah rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $23.42 / $47.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.56 / $1.60
Cigna
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