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Vermont rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.27 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.27 / $2.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.15 / $1.68