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West Virginia rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $22.36 / $22.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.85 / $17.85 / $31.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $23.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $96.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $26.31