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Montana rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Facilitymedian $35 · 10th–90th $32–$360%50%10th90th$35Professionalmedian $21 · 10th–90th $21–$360%50%90th$21$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $32.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $36.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $36.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $39.81 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89