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Missouri rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $14.79 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $9.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.95 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $6.76 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.72 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $6.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.88 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.98 / $5.25