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West Virginia rates for HCPCS J2765

Metoclopramide Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $4.00 / $14.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $2.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.09 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.59 / $12.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.21 / $2.90