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Indiana rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $21.05 / $94.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $21.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $21.05 / $28.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $20.34 / $20.34
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 / $57.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $26.31