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Washington, DC 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
$0.45 / $7.14 / $14.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.21 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15