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Oklahoma rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $21.31 / $42.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
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 / $21.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $26.31 / $109.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05