| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.88 | $0.88 | $0.88 | |
Aetna
| Professional | $0.88 | $0.88 | $0.88 | |
CareFirst
| Professional | $0.38 | $0.38 | $0.38 | |
United
| Professional | $0.95 | $1.04 | $1.69 |
Injection, promazine HCl, up to 25 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.88 | $0.88 | $0.88 | |
Aetna
| Professional | $0.88 | $0.88 | $0.88 | |
CareFirst
| Professional | $0.38 | $0.38 | $0.38 | |
United
| Professional | $0.95 | $1.04 | $1.69 |