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Michigan rates for HCPCS J2950

Injection, promazine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $2.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.45 / $2.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.10