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West Virginia rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $5.34 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $3.43 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.44