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Massachusetts 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
$0.57 / $1.90 / $51.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.40 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.21 / $0.46
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $1,909.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.32
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.94 / $42.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.44
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.44