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Montana rates for HCPCS J2550

Promethazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $21.60 / $53.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.97 / $3.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $6.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $6.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.20 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95