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North Carolina rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $25.86 / $30.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $22.36 / $26.31
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 / $26.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $23.70 / $28.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $18.69 / $18.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $27.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $100.00 / $113.76