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Idaho rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $26.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $22.36 / $26.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
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
$22.36 / $23.99 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $24.21 / $24.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.96 / $30.96 / $48.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $29.47