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North Carolina rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $18.00 / $96.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.22 / $1.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.42 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.16
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 / $0.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.18 / $0.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,686.52 / $7,686.52 / $13,353.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00