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Illinois rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.80 / $56.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.06 / $5.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $13.41 / $60.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.84 / $14.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.84 / $3.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.13 / $4.51