go back

Washington rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $22.36 / $52.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $22.36 / $22.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.80 / $31.52 / $68.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $26.31 / $34.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $84.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $25.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $40.96 / $41.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.80 / $30.96 / $58.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05