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Vermont rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $22.39