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Rhode Island rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.51 / $85.51 / $85.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.36
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $26.31