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Louisiana rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $36.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $26.31 / $26.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $23.16 / $34.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $23.16 / $23.62
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $26.31