go back

Virginia rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $24.42 / $48.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $29.20 / $29.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $21.05 / $26.31