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Wyoming rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $17.10 / $96.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $36.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.40 / $0.40
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 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15