go back

Utah rates for HCPCS J2550

Injection, promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $53.70 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.79 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.47 / $3.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.95 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.47