go back

Kentucky 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
$0.44 / $5.05 / $71.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15