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Arizona rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $2.43 / $68.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.21 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.45 / $0.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.48 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15