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Indiana rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $35.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $31.62 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.30