go back

South Dakota rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Facilitymedian $4 · 10th–90th $3$950%20%10th90th$4Professionalmedian $4 · 10th–90th $3$50%20%40%10th90th$4$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $39.81 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.27 / $7.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.16 / $3.72
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $4.57
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.98