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Maryland rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $28.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $26.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $25.10 / $32.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.31