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New York 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 / $31.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $21.05 / $22.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $24.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $22.33 / $22.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.68 / $23.68 / $40.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.24 / $29.26 / $30.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $22.33 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $21.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $29.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $22.24 / $22.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $22.24 / $22.24