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Washington rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $6.48 / $96.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.32 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $0.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Regence BlueShield
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 / $0.15