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Oklahoma 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
$0.77 / $17.16 / $84.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.15 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $3.55 / $34.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15