go back

Pennsylvania rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Facilitymedian $38 · 10th–90th $22–$630%10%20%10th90th$38Professionalmedian $22 · 10th–90th $21–$220%50%10th90th$22$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $40.74 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $22.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $74.13 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $35.48
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $21.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84