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Hawaii rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $11.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.97 / $4.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $5.87 / $5.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.54 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.28 / $4.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.09 / $4.34