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Idaho rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $8.98 / $72.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.62
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $6.84 / $30.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.23