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Virginia rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $9.42 / $54.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.13 / $2.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.44 / $2.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.31 / $2.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $2.31 / $2.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.32 / $2.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.32 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.15 / $1.42