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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
$3.98 / $7.76 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.95 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $11.48 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $4.27 / $24.55
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
$3.80 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.17 / $4.57