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Missouri rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $8.76 / $67.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $4.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.26 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.19
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $2.77 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.15 / $0.18