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Maryland rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $35.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $25.12