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California rates for HCPCS J2250

Injection Midazolam Hydrochloride Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $8.34 / $91.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $1.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.34 / $0.52
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.57
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.32