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North Dakota rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $47.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $26.31 / $26.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $27.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $26.31 / $35.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $21.05 / $22.86