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South Dakota rates for HCPCS J2950

Promazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.86 / $1.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.40 / $2.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.31