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Wyoming rates for HCPCS J2765

Injection, metoclopramide HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $9.02 / $53.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.10 / $21.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.64 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.21