go back

Texas rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $6.41 / $52.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.14 / $0.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.41 / $19.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $4.63 / $23.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.24 / $0.59
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.55 / $2,499.00 / $8,151.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.20