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Indiana rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $113.05 / $888.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.42 / $7.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $14.70 / $22.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $7.35 / $10.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $9.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $8.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $16.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $9.82