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Maine rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.04 / $61.04 / $65.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $25.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.04 / $61.04 / $65.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $65.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $30.52