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Pennsylvania rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $6.96 / $10.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.42 / $5.70
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $203.32 / $435.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $3.20 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $4.22 / $7.74
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $4.23 / $417.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $6.72 / $16.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.44 / $7.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.95 / $2.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.13 / $4.51