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New Hampshire rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $4.53 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.43 / $12.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.91 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.95 / $2.95