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Alaska rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $35.15 / $124.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $35.52 / $35.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.79 / $50.79 / $50.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $20.62 / $29.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.79 / $50.79 / $50.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $21.05 / $29.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $31.58 / $42.46