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Idaho rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Facilitymedian $27 · 10th–90th $23–$490%20%10th90th$27Professionalmedian $22 · 10th–90th $21–$260%50%10th90th$22$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $24.55 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $45.71
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $72.44 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $29.51