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Rhode Island 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
$0.97 / $4.99 / $9.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.48