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Maryland rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.87 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.13 / $4.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57