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North Carolina rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $11.05 / $76.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.18 / $4.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $5.59 / $5.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.87
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 / $4.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.51 / $4.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.13 / $4.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00