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Hawaii rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $24.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $21.05 / $31.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $19.01 / $22.37