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Michigan rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $65.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.94 / $39.85 / $75.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $25.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $36.84 / $65.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $21.05 / $25.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.33