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Utah rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $21.84 / $21.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $21.84 / $21.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $29.52 / $37.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.05 / $21.05