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Illinois rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $42.10 / $70.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $75.33 / $316.98
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.04 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $26.78 / $26.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $23.08