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Alaska rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $27.32 / $63.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.27 / $6.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $35.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $9.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.22 / $9.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $7.85 / $14.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.43 / $8.85