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Wisconsin rates for HCPCS J2950

Promazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.88 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.90 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $12.11 / $22.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.42