go back

Michigan rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $23.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $9.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $13.27 / $23.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.46 / $7.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.01