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Minnesota rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $63.85 / $144.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.52 / $27.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.26 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.15 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.36 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.33 / $0.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $13.54 / $35.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.27