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Massachusetts rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $22.36 / $52.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $64.68 / $113.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $21.05 / $31.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.59 / $26.86 / $57.26
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $44.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $39.84 / $113.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $31.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $29.47