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Illinois 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
$0.52 / $10.82 / $72.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.85 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.18
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.23 / $6.31
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.27