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Alaska rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $41.55 / $95.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $11.26 / $34.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.55 / $0.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.55 / $1.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.23 / $0.30