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Utah rates for HCPCS J2550

Promethazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $51.14 / $69.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.42 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.74 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.95 / $3.28