go back

South Carolina rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $30.40 / $96.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $1.91 / $20.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.18 / $1.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15