go back

Minnesota rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $26.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.84 / $26.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.70 / $33.33 / $53.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $23.16 / $23.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $69.28 / $84.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $25.52 / $27.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.72 / $63.22 / $79.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $29.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $30.93 / $44.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $29.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $38.15