go back

Mississippi 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
$2.02 / $6.72 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.20