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Maryland rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $4.63 / $9.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13