go back

Pennsylvania rates for HCPCS J2950

Injection, promazine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.70 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.30 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.48 / $2.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.32 / $2.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.35 / $0.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.35 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.45