go back

Washington rates for HCPCS J2950

Injection, promazine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.88 / $0.94
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04