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Washington rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $18.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $8.05 / $8.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $95.00 / $95.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $9.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $15.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.65 / $15.19 / $15.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79