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Tennessee rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $28.39 / $43.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.84 / $21.84
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $113.76 / $113.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $22.36