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Washington rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $4.46 / $80.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.19 / $2.31
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.56 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.20 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.25 / $3.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.19 / $2.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.18 / $2.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.31